人工耳蜗植入对成人语后聋患者耳鸣的影响  

Influence of Cochlear Implant on Tinnitus in Adults with Postlingual Deafness

作　　者：任杰[1] 廖华[1] 华清泉[1] REN Jie;LIAO Hua;HUA Qing-quan

机构地区：[1]武汉大学人民医院耳鼻咽喉头颈外科,武汉430060

出　　处：《中国听力语言康复科学杂志》2023年第5期480-483,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的探讨人工耳蜗植入(CI)对成人语后聋患者耳鸣的影响。方法回顾性分析88例于我院行人工耳蜗植入的语后聋患者资料,筛选术前有耳鸣的患者分别于术前、术后0.5、1及6个月行耳鸣残疾量表(tinnitus handicap inventory,THI)和视觉模拟评分法(visval analogue scale,VAS)评价患者耳鸣及转归情况。结果80.7%(71/88)的成人语后聋患者术前伴有耳鸣症状,不同性别患者耳鸣严重程度无差异;THI评分在术后6个月时降低最明显,耳鸣严重程度从术前的重度(38.48±23.95)降至中度(20.59±18.38),响度也较术前明显减小。青年组患者术后耳鸣改善情况较中年组及老年组更好。使用声音处理器时耳鸣响度明显减小。结论人工耳蜗植入术可有效改善语后聋成人患者的耳鸣症状,术后耳鸣症状可随时间推移逐渐缓解。青年患者耳鸣症状在术后得到改善的效果更好,所需时间更短。人工耳蜗开机后,声音处理器的使用对耳鸣的抑制有显著而长期的作用。Objective To investigate the effect of cochlear implant(CI)on tinnitus in adults with postlingual deafness.Methods The data of 88 patients with postlingual deafness who were implanted with CI in our hospital were retrospectively analyzed.The patients who had tinnitus before the operation were selected,and the tinnitus disability inventory(THI)and visual analogue scale(VAS)were used to evaluate the tinnitus and prognosis of patients before the operation,half a month after the operation,one month after the operation,and six months after the operation.Result 80.7%(71/88)of adult postlingual hearing loss patients had preoperative tinnitus symptoms,and there was no difference in tinnitus severity among patients of different genders;The THI score decreased most significantly 6 months after the operation,the tinnitus severity decreased from the preoperative severe(38.48±23.95)to the moderate(20.59±18.38),and the loudness also decreased significantly compared with that before the operation.The improvement of postoperative tinnitus in the young group was better than that in the middle-aged and elderly groups.The tinnitus loudness is significantly reduced when using a sound processor.Conclusion CI can effectively improve the tinnitus symptoms of adults with postlingual deafness,and the tinnitus symptoms can gradually alleviate with time.The improvement of tinnitus symptoms in young patients after surgery is better and takes less time.After the CI is turned on,the use of sound processor has a significant and long-term effect on the inhibition of tinnitus.

关 键 词：人工耳蜗植入 语后聋 耳鸣 耳鸣残疾量表 视觉模拟评分 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]